Mizuho Healthcare REIT Conference - April 2021 - Welltower
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Forward Looking Statements This document contains “forward-looking statements” as defined in the Private Securities Litigation Reform Act of 1995. When Welltower uses words such as “may,” “will,” “intend,” “should,” “believe,” “expect,” “anticipate,” “project,” “pro forma,” “estimate” or similar expressions that do not relate solely to historical matters, Welltower is making forward-looking statements. Forward-looking statements, including statements related to Funds From Operations guidance, are not guarantees of future performance and involve risks and uncertainties that may cause Welltower’s actual results to differ materially from Welltower’s expectations discussed in the forward-looking statements. This may be a result of various factors, including, but not limited to: the successful completion of the transactions; the duration and scope of the COVID-19 pandemic; the impact of the COVID-19 pandemic on occupancy rates and on the operations of Welltower and its operators/tenants; actions governments take in response to the COVID- 19 pandemic, including the introduction of public health measures and other regulations affecting Welltower’s properties and the operations of Welltower and its operators/tenants; the receipt of relief funds under the CARES Act and other future stimulus legislation, the effects of health and safety measures adopted by Welltower and its operators/tenants related to the COVID-19 pandemic; increased operational costs as a result of health and safety measures related to COVID-19; the impact of the COVID-19 pandemic on the business and financial condition of operators/tenants and their ability to make payments to Welltower; disruptions to Welltower's property acquisition and disposition activity due to economic uncertainty caused by COVID-19; general economic uncertainty in key markets as a result of the COVID-19 pandemic and a worsening of global economic conditions or low levels of economic growth; the status of capital markets, including availability and cost of capital; issues facing the health care industry, including compliance with, and changes to, regulations and payment policies, responding to government investigations and punitive settlements and operators’/tenants’ difficulty in cost effectively obtaining and maintaining adequate liability and other insurance; changes in financing terms; competition within the health care and seniors housing industries; negative developments in the operating results or financial condition of operators/tenants, including, but not limited to, their ability to pay rent and repay loans; Welltower’s ability to transition or sell properties with profitable results; the failure to make new investments or acquisitions as and when anticipated; natural disasters and other acts of God affecting Welltower’s properties; Welltower’s ability to re-lease space at similar rates as vacancies occur; Welltower’s ability to timely reinvest sale proceeds at similar rates to assets sold; operator/tenant or joint venture partner bankruptcies or insolvencies; the cooperation of joint venture partners; government regulations affecting Medicare and Medicaid reimbursement rates and operational requirements; liability or contract claims by or against operators/tenants; unanticipated difficulties and/or expenditures relating to future investments or acquisitions; environmental laws affecting Welltower’s properties; changes in rules or practices governing Welltower’s financial reporting; the movement of U.S. and foreign currency exchange rates; Welltower’s ability to maintain Welltower’s qualification as a REIT; key management personnel recruitment and retention; and other risks described in Welltower’s reports filed from time to time with the SEC. Finally, Welltower undertakes no obligation to update or revise publicly any forward-looking statements, whether because of new information, future events or otherwise, or to update the reasons why actual results could differ from those projected in any forward-looking statements. 2
Recent Developments First Quarter 2021 Funds from Operations (FFO) Update (1) • Welltower (“WELL”) expects to achieve the top end of its normalized FFO guidance range of $0.71 - $0.76 per diluted share • WELL expects 1Q21 average occupancy for its Seniors Housing Operating (SHO) portfolio to finish favorably to the midpoint of its -275 to -375 bps guidance range (2) Seniors Housing Operating (SHO) Portfolio Update • Following a decline in occupancy in early March, spot occupancy has increased in recent weeks, with an approximate gain of 30 basis points (“bps”) since March 12th • SHO portfolio occupancy has increased for three consecutive weeks, driven by our US and UK portfolios, with occupancy gains of approximately 65bps and 50bps, respectively, since March 12th. Following a nationwide rise in COVID-19 cases, occupancy in Canada has declined by 40bps over the same period • Many communities are returning to pre-COVID conditions with resumption of in-person tours, indoor visitation, communal dining, and social programming • Lead generation for many communities has returned to pre-COVID levels following a steep decline in COVID cases amongst residents & staff and across our geographies • Trailing two week resident cases have declined by 99% from mid-January through April 1, 2021; nearly all communities are currently accepting new residents COVID-19 Vaccine Update (2) • Virtually all Assisted Living and Memory Care communities are expected to have completed their final scheduled vaccination clinic by early-to-mid April Investment and Balance Sheet Update • During 1Q21, WELL completed $209 million of pro rata acquisitions at an initial yield of 6.2%; pro rata dispositions totaled $216 million at a yield of 5.5% • WELL’s near-term capital deployment pipeline remains robust across a wide range of opportunities • In March 2021, successfully closed $750 million offering of 2.800% senior unsecured notes due June 2031 • Proceeds from the offering will be used, in part, to redeem all remaining outstanding unsecured senior notes due in 2023 and for general corporate purposes • Following the expected April 16, 2021 redemption of all unsecured senior notes due in 2023, WELL will have no unsecured senior note maturities until 2024 • As of March 31, 2021, near-term liquidity stands at $4.8 billion; inclusive of expected future proceeds from announced dispositions, liquidity stands at $5.8 billion(3) 1. 2. See Supplemental Financial Measures at the end of this presentation for reconciliations As reported by operators as of April 1, 2021; data has not been verified by Welltower 3 3. See slide 22 for details
Welltower at a Glance World’s Largest Health and Wellness Real Estate Platform ~1,300 ~22M sq. ft. Senior Living Communities(1) ofOutpatient Facilities(1) S&P 500 Baa1 BBB+ 4 1. As of 12/31/2020
Welltower Purpose Addressing societal challenges through reimagining and reinventing the built environment for effective health and wellness care delivery 5
Secular Theme | An Aging Population 80+ U.S. Population(1) 20M 8% 25 7% 80+Population Population80+ (M)80+ Population Growth (%YoY) 19M 7% 23 YoY Growth (%) 6% 18M 6% 21 80+ population is expected to grow by 19.7M 5% The Aging Population is 17M nearly 50% over the next decade 5% 19 growing exponentially, 16M 4% 4% and outspends every other 17 15M 15.6M age cohort combined on 14M 15 13.2M 3% 3% health care 13M 2% 2% 13 1% 12M 1% 11 11M 0% 9 0% 10M -1% 1. The Organisation for Economic Cooperation and Development 6
Secular Theme | Social Determinants of Health 80% of an individual’s health and wellness is influenced by social determinants(1) Physical Environment Safety Housing Transportation & Accessibility 10% 40% Socioeconomic factors Health Care 20% Drivers of Food Security Financial Community Health & Nutrition Stability & Socialization 30% Health Behaviors Exercise & Activity Hygiene Medical Compliance 7 1. Source: Artiga, S., & Hinton, E. (2019, May 29). Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity
Secular Theme | The Need for Value-Based Care The US spends the most per capita on health care, yet achieves significantly lower health outcomes Health Care vs Social Care Spend(1) Health Care Spend vs. Life Expectancy(2) Social Care Spend Health Care Spend 84 100% NOR NLD FRA 82 AUS NZL 80% Life Expectancy at Birth (years) SWE CAN OECD Avg UK 80 GER 60% USA 40% 78 20% 76 0% 74 UK SWIZ NOR SWE FRA GER NETH AUS NZ CAN US 4% 6% 8% 10% 12% 14% 16% 18% Health Care Spend (% GDP) 1. OECD (2020), Health spending (indicator). doi: 10.1787/8643de7e-en (Accessed February 2, 2020) 2. Organization for Economic Cooperation and Development. Data as of 2017 8
The Health and Wellness Ecosystem $$$ RELATIVE COST OF CARE $ ACUTE CARE POST-ACUTE CARE SENIORS HOUSING Hospital Specialty Inpatient Rehab Long-Term Skilled Nursing Memory Assisted Independent Home Inpatient Care Facility Care Hospital (LTC) Care Living Living CONSUMER DRIVEN VENUES AND SERVICES Digital Home Payor Virtual Retail Innovation Health Programs Health Health Outpatient Medical Urgent Care 9
Portfolio Composition(1) 7% 8% 18% 23% 37% 4Q 2018 46% 4Q 2020 IPNOI IPNOI 10% 10% 19% 22% Seniors Housing Operating Seniors Housing Triple-Net Long-Term / Post-Acute Care Outpatient Medical Health System 1. Based on In-Place NOI. See Supplemental Financial Measures at the end of this presentation for reconciliations 10
Seniors Housing Operating Portfolio Update 11
Seniors Housing Operator Platform | Power of Diversification Diversity Across Acuity, Geography and Operating Model Operator Diversification | Average Monthly Rent vs Average Portfolio Acuity $$$ Monthly Rent $ Low Average Portfolio Acuity High 12
Demographic Backdrop | Rapidly Aging Population 80+ Population CAGR | Historical and Projected 10 Year Population CAGR by Age Cohort | 2020 - 2029 5% US UK Canada 4% 4.0% 4.0% 4.0% 3.8% 3.8% 3.6% 4% 3.6% 3.1% 3.0% 3.0% 3.0% 3% 3.1% 3% 2.0% 2.0% 2.0% 2.3% 1.7% 2% 1.3% 1.4% 2% 1.6% 1.0% 1.0% 1.0% 1.3% 0.3% 1% 0.2% 0.2% 0.0% 0.0% 0.0% 0.0% 1% -0.3% -0.2% 0% US UK CAN -1.0% -1.0% -1.0% 2010 - 2019 2020 - 2029 1. Source: The Organisation for Economic Cooperation and Development (OECD) 13
Seniors Housing Supply Backdrop Seniors Housing Historical Supply(1) Rapid Increase in Cost of Key Materials May Curtail Near-Term Starts(2) NIC Primary and Secondary Markets 2019 – 2020 Price Change YTD 2021 Price Change 14K Construction Starts Rolling 4-Quarter Starts vs. Inventory 5.0% Lumber +115.4% +16.0% 4.5% Steel +70.9% +33.8% 12K 71% decline in 4.0% Copper +25.8% +13.9% 10K starts from peak 3.5% (2) Historical Lumber Prices 1000 3.0% 8K 900 Lumber prices have more than tripled in last 2.5% 800 five years and risen 280% since April 2020 6K 700 2.0% 600 500 1.5% 4K 400 1.0% 300 2K 200 0.5% 100 0 0K 0.0% 1. 2. Source: NIC MAP Bloomberg. Lumber: Random Length Lumber Futures; Steel: U.S. Midwest Domestic Hot-Rolled Coil Steel Index Futures; Copper: Copper Futures. 2019 – 2020 Price Change: 12/312019 – 12/31/2020; YTD 2021 Price Change: 14 12/31/20 – 4/2/2021
COVID Recovery | Growth Opportunity 20M US 80+ Population Growth(1) 7.0% 3.6% CAGR 6.0% Demographic-driven 5.0% Occupancy Recovery 15M 1.3% CAGR 4.0% 3.0% 2.0% 10M 1.0% 80+ Population 0.0% 5M 80+ Population Growth (%YoY) -1.0% Supply Deceleration Seniors Housing Construction vs. Inventory – Rolling Four Quarters(2) 5.0% Starts as percentage of inventory 4.0% at lowest level since 2Q11 3.0% 2.0% Unique Opportunity for 1.0% Significant NOI Growth 0.0% 1. Source: The Organisation for Economic Cooperation and Development (OECD) 15 2. Source: NIC MAP, Primary and Secondary Markets
SHO Portfolio | Occupancy Trends Total SHO Month-End Portfolio Occupancy(1) 86% -70 bps -230 bps Meaningful Improvement in 84% March Occupancy Trends -170 bps Mar 12 Mar 19 Mar 26 Apr 1 73.7% 73.7% 73.9% 74.0% 82% -90 bps +4bps +11bps +16bps -60 bps 80% -60 bps -30 bps -40 bps -70 bps 78% -100 bps -140 bps 76% -90 bps -10 bps 74% 72% February March April May June July August September October November December January February March 2020 2021 1. Occupancy represents approximate month end occupancy for all SHO properties in operation as of February 29, 2020, excluding only acquisitions, executed dispositions and development conversions since this date. Approximate month end spot occupancy is as follows: 2020: February – 85.7%; March – 84.9%; April – 82.7%; May – 80.9%; June – 80.0%; July – 79.4%; August – 78.8%; September – 78.5%; October – 78.1%; November – 77.4%; December – 76.3%; 2021: January – 74.9%; February – 74.1%; March – 74.0% 16
SHO Portfolio | Move Ins & Move Outs(1) Indexed Move Ins Since February 2020 Indexed Move Outs Since February 2020 120 120 66% Increase 6% decrease Jan‘21→ Mar‘21 108.8 Jan‘21→ Mar‘21 100 100 100.0 100.0 101.8 93.4 89.8 87.5 80 82.9 82.9 80 84.6 82.6 80.5 79.8 81.7 78.2 78.3 78.5 78.6 74.2 71.6 60 65.2 62.6 63.3 64.5 60 53.8 48.4 40 40 29.6 20 23.7 20 0 0 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 2020 2021 2020 2021 1. February 2021 Move Ins & Move Outs have been updated since the March 8, 2021 update to reflect final data received from operators. March 2021 represents preliminary data as reported by operators. Data has not been verified by Welltower 17
SHO Portfolio | COVID-19 Impact (1) Resident COVID-19 Cases – Trailing Two Weeks COVID-19 Impact 99% decline in TTW cases since peak • 99% of communities are accepting new residents, 1,400 up from 84% as of mid-January 2021 • Most AL/MC communities have completed a second or third vaccine clinic • 99% decline in trailing two week (TTW) case count • Lead generation for many communities 1227 since peak in mid-January 2021 1,200 has returned to pre-COVID levels 1136 • 99% of communities have zero reported resident COVID-19 cases on a TTW basis versus 64% in 1,000 mid-January 2021 906 874 819 800 780 Operations Update 620 • Visitation restrictions have been eased at many 600 562 578 communities while maintaining strict adherence to 521 485 481 state, local, and/or operator-imposed guidelines 454 427 • Many communities have begun to open dining rooms 400 348 335 304 300 with limited capacity and resumed social programming 291 268 237 246 228 197 • In-person tours are being offered on a more consistent 200 127 165 142147 146 164 125127 117 163 131 basis; virtual tours remain available 119 112 89 92 101 91 100 38 78 69 82 63 71 46 46 81 35 • Previous requirement to self-quarantine post move-in 17 10 0 9 0 has been shortened or removed at some properties if new resident is fully vaccinated and tested negative for COVID-19 18 1. All data presented as of April 1, 2021 as reported by operators; has not been verified by Welltower
COVID-19 | Case Count & Vaccination Update US COVID New Daily Cases(1) UK COVID New Daily Cases(2) Canada COVID New Daily Cases(3) 7-Day Moving Average 7-Day Moving Average 7-Day Moving Average 300K 70K 9K 60K 8K 250K 7K 50K 200K 6K 40K 5K 150K 30K 4K 100K 3K 20K 2K 50K 10K 1K K K K Cumulative US COVID Vaccinations Cumulative US COVID Vaccinations Individuals with One or More Doses in US Total US Population US Assisted Living and Skilled Nursing Facilities Assisted Living and Skilled Nursing 180M 9M Facilities(1) 160M 8M 140M 7M 120M 6M Residents 2,117K 100M 5M 80M 4M 60M 3M Staff 1,591K 40M 2M 20M 1M 0M 0M Not Reported 1,129K 1. Centers for Disease Control and Prevention as of April 2, 2021 2. https://coronavirus.data.gov.uk/ 19 3. https://health-infobase.canada.ca/covid-19/covidtrends/
Vaccine and Therapeutics Timeline Vaccine availability for all adult Americans anticipated by May 2021(1) New Daily Cases 7-Day Moving Avg Cumulative Vaccinations US daily COVID deaths EUA granted for Pfizer and Moderna vaccine and peak at 4,396(3) distribution begins in the UK, US, and Canada; Pfizer/BioNTech COVID- AstraZeneca granted EUA in the UK in late December (2) 19 shot 91% effective in 250K US Federal Retail Pharmacy Program updated data(6) 140M for COVID-19 vaccination begins with 21 retail pharmacy partners(4) 120M 200K EUA granted for J&J single dose vaccine 100M for US distribution(5) 150K 80M ~55% of U.S. population 65+ fully vaccinated(2) 60M 100K 40M 50K US Daily New Cases down 80% since January ’21 peak 20M 0K 0M 1. https://www.whitehouse.gov/briefing-room/speeches-remarks/2021/03/02/remarks-by-president-biden-on-the-administrations-covid-19-vaccination-efforts/ 2. https://www.astrazeneca.com/media-centre/press-releases/2020/astrazenecas-covid-19-vaccine-authorised-in-uk.html 3. https://covid.cdc.gov/covid-data-tracker/#vaccinations 4. https://www.cdc.gov/vaccines/covid-19/retail-pharmacy-program/index.html 20 5. https://www.jnj.com/johnson-johnson-covid-19-vaccine-authorized-by-u-s-fda-for-emergency-usefirst-single-shot-vaccine-in-fight-against-global-pandemic/ 6. https://www.reuters.com/article/health-coronavirus-pfizer/pfizer-biontech-covid-19-shot-91-effective-in-updated-data-protective-against-south-african-variant-idUKKBN2BO68Fhttps://www.cdc.gov/vaccines/covid-19/retail-pharmacy-program/index.html
Balance Sheet & Investments Update 21
Balance Sheet & Investment Highlights Notable 2021 Year To Date Highlights Liquidity ($M) April 2, 2021 • Near-term liquidity of $4.8 billion as of April 2, 2021 Cash and Cash Equivalents(1) $1,760 • Cash balance pro forma for expected redemption of senior Undrawn Line of Credit Capacity $3,000 (1) unsecured notes due 2023 totals approximately $1.76 billion ; revolving credit facility is undrawn with capacity of $3.0 billion Near-Term Liquidity $4,760 • Following the expected redemption of all senior unsecured Expected Proceeds from Assets Held For Sale(2) $37 notes due 2023, WELL will have no material unsecured bond Expected Proceeds from 2021 Loan Payoffs $265 maturities until 2024 • As of March 31, 2021, completed $209 million of pro rata Expected Proceeds from Recently Announced $745 acquisitions year-to-date Strategic Transactions(3) • As of March 31, 2021, completed $216 million in pro rata Near-Term Liquidity + Expected Proceeds $5,807 dispositions year-to-date at a yield of 5.5%, including: • Completed the third and final tranche of the Wafra Inc. joint Weighted Average Debt Maturity of 7.8 Years(4) venture consisting of five OM buildings with $110 million in pro rata proceeds to WELL • Near-term capital deployment pipeline remains robust across Baa1 BBB+ a wide range of opportunities 1. Estimated cash balance of $2.5 billon as of April 2, 2021, including cash and cash equivalents and IRC Section 1031 deposits and is shown net of the $740 million paydown of outstanding indebtedness including the redemption of $340 million in aggregate amount outstanding of 3.750% senior notes due March 2023, all $335 million aggregate amount outstanding of 3.950% senior notes due September 2023 and a portion of the two-year unsecured term loan due 2022 2. Includes 4Q2020 assets held for sale of $255 million as of December 31, 2020 less $218 million related to $200 million in property sales and $18 million in land dispositions closed subsequent to quarter end as of March 31, 2021 3. As indicated in Business Update from March 8,2021, upon successful completion, recently announced strategic transactions are expected to generate proceeds to Welltower of $745 million 4. Represents December 31, 2020 data with pro forma adjustments to reflect the March 25, 2021 issuance of $750 million of 2.800% senior notes due June 2031, the expected April 16, 2021 redemption of $340 million in aggregate amount 22 outstanding of 3.750% senior notes due March 2023 and all $335 million aggregate amount outstanding of 3.950% senior notes due September 2023 and a portion of the two-year unsecured term loan due 2022 as if all transactions had occurred on December 31, 2020
(1,2) Balanced and Manageable Debt Maturity Profile Weighted Average Maturity of 7.8 Years USD Unsecured USD Secured CAD Unsecured CAD Secured GBP Unsecured GBP Secured Term Loan Weighted Average Interest 4.48% $3,500M 4.15% 3.95% 3.84% 3.84% 3.81% $3,000M 3.13% 3.07% $2,500M 2.95% $2,000M 2.38% 2.07% $1,500M $1,000M $500M $0M (3) (4) 2021 2022 (3) 2023 (4) 2024 2025 2026 2027 2028 2029 2030 After After (in Millions USD) Unsecured Debt $0 $852 $699 $1,350 $1,250 $700 $739 $1,508 $550 $750 $3,189 Secured Debt $315 $503 $446 $269 $646 $69 $185 $94 $282 $37 $184 Total $315 $1,355 $1,145 $1,619 $1,896 $769 $924 $1,602 $832 $787 $3,373 1. Represents December 31, 2020 data with pro forma adjustments to reflect the March 25, 2021 issuance of $750 million of 2.800% senior notes due June 2031, the expected April 16, 2021 redemption of $340 million in aggregate amount outstanding of 3.750% senior notes due March 2023 and all $335 million aggregate amount outstanding of 3.950% senior notes due September 2023 and a portion of the two-year unsecured term loan due 2022 as if all transactions had occurred on December 31, 2020. Represents pro rata principal amounts due and excluding unamortized premiums/discounts or other fair value adjustments as reflected on the balance sheet. Excludes lease liabilities relating to both finance and operating leases 2. Our unsecured commercial paper program and our unsecured revolving credit facility had a zero balance as of December 31, 2020. The unsecured revolving credit facility matures on July 19, 2022 (with an option to extend for two successive terms of six months each at our discretion). Available borrowing capacity of our unsecured revolving credit facility was $3,000,000,000 as of December 31, 2020 23 3. 2022 includes a $842,000,000 unsecured term loan. The loan matures on April 1, 2022 and bears interest at LIBOR plus 1.20% 4. 2023 includes a $500,000,000 unsecured term loan and a CAD $250,000,000 unsecured term loan (approximately $196,032,000 USD at December 31, 2020). The loans mature on July 19, 2023. The interest rates on the loans are LIBOR + 0.9% for USD and CDOR + 0.9% for CAD
Supplemental Financial Measures 24
Non-GAAP Financial Measures We believe that revenues, net income and net income attributable to common stockholders ("NICS"), as defined by U.S. generally accepted accounting principles ("U.S. GAAP"), are the most appropriate earnings measurements. However, we consider Funds From Operations (FFO), Net Operating Income ("NOI") and In-Place NOI ("IPNOI") to be useful supplemental measures of our operating performance. The supplemental measures are disclosed on our pro rata ownership basis. Pro rata amounts are derived by reducing consolidated amounts for minority partners’ noncontrolling ownership interests and adding our minority ownership share of unconsolidated amounts. We do not control unconsolidated investments. While we consider pro rata disclosures useful, they may not accurately depict the legal and economic implications of our joint venture arrangements and should be used with caution. Our supplemental reporting measures and similarly entitled financial measures are widely used by investors, equity and debt analysts and rating agencies in the valuation, comparison, rating and investment recommendations of companies. Our management uses these financial measures to facilitate internal and external comparisons to historical operating results and in making operating decisions. Additionally, these measures are utilized by the Board of Directors to evaluate management. None of the supplemental reporting measures represent net income or cash flow provided from operating activities as determined in accordance with U.S. GAAP and should not be considered as alternative measures of profitability or liquidity. Finally, the supplemental reporting measures, as defined by us, may not be comparable to similarly entitled items reported by other real estate investment trusts or other companies. Multi-period amounts may not equal the sum of the individual quarterly amounts due to rounding. 25
FFO and Normalized FFO Historical cost accounting for real estate assets in accordance with U.S. GAAP implicitly assumes that the value of real estate assets diminishes predictably over time as evidenced by the provision for depreciation. However, since real estate values have historically risen or fallen with market conditions, many industry investors and analysts have considered presentations of operating results for real estate companies that use historical cost accounting to be insufficient. In response, the National Association of Real Estate Investment Trusts (NAREIT) created FFO as a supplemental measure of operating performance for REITs that excludes historical cost depreciation from net income. FFO attributable to common stockholders, as defined by NAREIT, means net income attributable to common stockholders, computed in accordance with U.S. GAAP, excluding gains (or losses) from sales of real estate and impairments of depreciable assets, plus real estate depreciation and amortization, and after adjustments for unconsolidated entities and noncontrolling interests. Normalized FFO attributable to common stockholders represents FFO adjusted for certain items detailed in the reconciliations. Normalizing items include adjustments for certain non-recurring or infrequent revenues/expenses that are described in our earnings press releases for the relevant periods. We believe that Normalized FFO attributable to common stockholders is a useful supplemental measure of operating performance because investors and equity analysts may use this measure to compare our operating performance between periods or to other REITs or other companies on a consistent basis without having to account for differences caused by unanticipated and/or incalculable items. 26
Earnings Outlook Reconciliation Quarter Ending March 31, 2021 (in millions, except per share data) Current Outlook Low High FFO Reconciliation: Net income attributable to common stockholders $ 102 $ 123 Impairments and losses (gains) on real estate dispositions, net(1,2) (53) (53) Depreciation and amortization(1) 248 248 NAREIT FFO and Normalized FFO attributable to common stockholders $ 297 $ 318 Per share data attributable to common stockholders: Net income $ 0.24 $ 0.29 NAREIT FFO and Normalized FFO $ 0.71 $ 0.76 Other items:(1) Net straight-line rent and above/below market rent amortization $ (18) $ (18) Non-cash interest expenses 3 3 Recurring cap-ex, tenant improvements, and lease commissions (21) (21) Stock-based compensation 6 6 (1) Amounts presented net of noncontrolling interests' share and Welltower's share of unconsolidated entities. (2) Includes estimated gains on projected dispositions. 27
NOI and IPNOI We define NOI as total revenues, including tenant reimbursements, less property operating expenses. Property operating expenses represent costs associated with managing, maintaining and servicing tenants for our properties. These expenses include, but are not limited to, property-related payroll and benefits, property management fees paid to operators, marketing, housekeeping, food service, maintenance, utilities, property taxes and insurance. General and administrative expenses represent costs unrelated to property operations and transaction costs. These expenses include, but are not limited to, payroll and benefits, professional services, office expenses and depreciation of corporate fixed assets. IPNOI represents NOI excluding interest income, other income and non-IPNOI and adjusted for timing of current quarter portfolio changes such as acquisitions, development conversions, segment transitions, dispositions and investments held for sale. We believe NOI and IPNOI provide investors relevant and useful information because they measure the operating performance of our properties at the property level on an unleveraged basis. We use these metrics to make decisions about resource allocations and to assess the property level performance of our properties. 28
In-Place NOI Reconciliations (dollars in thousands) 4Q20 4Q18 In-Place NOI by property type 4Q20 % of Total Net income (loss) $ 155,278 $ 124,696 Seniors Housing Operating $ 662,852 37 % Loss (gain) on real estate dispositions, net (185,464) (41,913) Seniors Housing Triple-Net 380,212 22 % Loss (income) from unconsolidated entities (258) (195) Outpatient Medical 401,996 23 % Income tax expense (benefit) 290 1,504 Health System 147,136 8% Other expenses 33,088 10,502 Long-Term/Post-Acute Care 180,140 10 % Impairment of assets 9,317 76,022 Total In-Place NOI $ 1,772,336 100 % Provision for loan losses 83,085 — Loss (gain) on extinguishment of debt, net 13,796 53 Loss (gain) on derivatives and financial instruments, net 569 1,626 General and administrative expenses 27,848 31,101 In-Place NOI by property type 4Q18 % of Total Depreciation and amortization 242,733 242,834 Seniors Housing Operating $ 965,408 46 % Interest expense 121,173 144,369 Seniors Housing Triple-Net 411,428 19 % Consolidated net operating income 501,455 590,599 Outpatient Medical 366,820 18 % NOI attributable to unconsolidated investments (1) 21,481 21,933 Health System 143,200 7% NOI attributable to noncontrolling interests (2) (25,950) (40,341) Long-Term/Post-Acute Care 205,324 10 % Pro rata net operating income (NOI) $ 496,986 $ 572,191 Total In-Place NOI $ 2,092,180 100 % Adjust: Interest income $ (21,096) $ (13,082) Other income (7,215) (7,092) Sold / held for sale (7,978) (12,724) Developments / land 1,102 545 Non In-Place NOI(3) (17,413) (21,892) Timing adjustments(4) (1,302) 5,099 In-Place NOI 443,084 523,045 Annualized In-Place NOI $ 1,772,336 $ 2,092,180 (1) Represents Welltower's interest in joint ventures where Welltower is the minority partner. (2) Represents minority partner's interest in joint ventures where Welltower is the majority partner. (3) Primarily represents non-cash NOI. (4) Represents timing adjustments for current quarter acquisitions, construction conversions and segment or operator transitions. 29
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